TY - JOUR T1 - An In-patient Model for Positive Airway Pressure Desensitization: A Report of 2 Pediatric Cases JF - Respiratory Care SP - 802 LP - 807 DO - 10.4187/respcare.01231 VL - 57 IS - 5 AU - Kelli-Lee Harford AU - Supriya Jambhekar AU - Gulnur Com AU - Lisa Bylander AU - Kristi Pruss AU - Jana Teagle AU - Wendy Ward Y1 - 2012/05/01 UR - http://rc.rcjournal.com/content/57/5/802.abstract N2 - Application of positive airway pressure is frequently indicated in pediatric patients with a diagnosis of obstructive sleep apnea. Adherence to equipment use is often less than optimal and can be more challenging when working with children with special needs. An in-patient protocol was designed utilizing various techniques and strategies from the medical adherence literature and applied to 2 cases. This protocol utilizes specialists from various disciplines, including respiratory therapists, psychologists, physicians, nurses, and child life therapists, as well as parental involvement. This paper outlines this protocol using 2 case studies. Both patients successfully used their equipment for greater than 4 hours at night by the end of their hospital stay of 4 days and maintained or advanced these gains at follow-up. These 2 cases suggest that more research should be conducted to further evaluate the effectiveness of similar programs. ER -